Individual
MS. BRENDA KAY FLORIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
288 FAIRLANE AVE, TONAWANDA, NY 14150-7219
(716) 833-5047
Mailing address
288 FAIRLANE AVE, TONAWANDA, NY 14150-7219
(716) 833-5047
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
121731-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02721837
—
NY
Enumeration date
11/14/2007
Last updated
11/14/2007
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